Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.65 / $145.02 / $194.32	Facility	26	$58.65	$145.02	$194.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.22 / $234.70 / $920.00	Professional		$205.22	$234.70	$920.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.65 / $74.72 / $281.00	Professional	26	$58.65	$74.72	$281.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $142.71 / $152.75 / $213.26	Professional	TC	$142.71	$152.75	$213.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $136.66 / $136.66 / $136.66	Professional	26	$136.66	$136.66	$136.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.41 / $333.05 / $448.67	Professional		$197.41	$333.05	$448.67
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.13 / $94.68 / $127.56	Professional	26	$56.13	$94.68	$127.56
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.28 / $238.36 / $321.11	Professional	TC	$141.28	$238.36	$321.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $455.73 / $585.79	Professional		$244.44	$455.73	$585.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $130.43 / $165.84	Professional	26	$67.98	$130.43	$165.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $176.46 / $331.50 / $419.95	Professional	TC	$176.46	$331.50	$419.95
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $314.00 / $314.00 / $314.00	Facility	26	$314.00	$314.00	$314.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $426.13 / $1,442.20	Professional		$284.08	$426.13	$1,442.20
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.26 / $121.89 / $507.29	Professional	26	$81.26	$121.89	$507.29
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $202.83 / $304.24 / $1,055.58	Professional	TC	$202.83	$304.24	$1,055.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $347.06 / $449.79 / $585.79	Professional		$347.06	$449.79	$585.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $114.42 / $308.99 / $462.29	Professional		$114.42	$308.99	$462.29
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $437.06 / $541.29	Professional		$284.08	$437.06	$541.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.26 / $125.02 / $154.84	Professional	26	$81.26	$125.02	$154.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $202.83 / $312.04 / $386.57	Professional	TC	$202.83	$312.04	$386.57